Provider Demographics
NPI:1922082296
Name:LLOYD, STEPHEN C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:STEPHEN
Middle Name:C
Last Name:LLOYD
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 FOREST DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29204-2363
Mailing Address - Country:US
Mailing Address - Phone:803-254-8449
Mailing Address - Fax:803-254-8984
Practice Address - Street 1:2631 FOREST DR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29204-2363
Practice Address - Country:US
Practice Address - Phone:803-254-8449
Practice Address - Fax:803-254-8984
Is Sole Proprietor?:No
Enumeration Date:2005-12-01
Last Update Date:2015-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC8543207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP3616Medicaid
SCC60229Medicare UPIN
SCGP3616Medicaid